| SHAPE |
Point |
| HCC_FCT_ID |
1611 |
| SITE_SOURCE_ID |
FBAD5D0E-ADEA-4942-9A6B-15C562C67DBE |
| SITE_NM |
Community Health Center, Inc. Ellis R. Shipp |
| UDS_NUM |
|
| SITE_PHONE_NUM |
801-676-4405 |
| SITE_URL |
www.chc-ut.org |
| TOT_OPER_HR_PER_WEEK |
44 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
499D86E6-F2EB-44DF-AF79-BBB1DD6937EA |
| GRANT_NUM |
H80CS00220 |
| GRANTEE_NM |
COMMUNITY HEALTH CENTERS INC |
| GRANTEE_ORG_DESC |
Corporate Entity, Federal Tax Exempt |
| MHC_SUB_PROG_IND |
N |
| CH_SUB_PROG_IND |
N |
| SBHC_SUB_PROG_IND |
N |
| PHPC_SUB_PROG_IND |
N |
| HCH_SUB_PROG_IND |
N |
| SITE_ADDRESS_ID |
5022 |
| SITE_ADDRESS_SOURCE_ID |
ACBB2341-9A0C-4448-81A4-42A88D847D58 |
| SITE_ESR_SOURCE_ID |
822B0119-DC86-4433-8BFD-65BA666406DF |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
4535 S 5600 W |
| SITE_CITY |
West Valley City |
| SITE_STATE_ABBR |
UT |
| SITE_ZIP_CD |
84120-4639 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Urban |
| HCC_LOC_SETTING_ID |
7 |
| HCC_LOC_SETTING_DESC |
All Other Clinic Types |
| HCC_STATUS_ID |
1 |
| HCC_STATUS_DESC |
Active |
| HCC_LOC_ID |
1 |
| HCC_LOC_DESC |
Permanent |
| HCC_TYP_ID |
2 |
| HCC_TYP_DESC |
Service Delivery Site |
| HCC_OPER_ID |
1 |
| HCC_OPER_DESC |
Health Center/Applicant |
| HCC_OPER_SCHD_ID |
0 |
| HCC_OPER_SCHD_DESC |
Unknown |
| HCC_CLND_SCHD_ID |
0 |
| HCC_CLND_SCHD_DIM_DESC |
Unknown |
| COUNTY_FIPS_CD |
035 |
| COUNTY_NM |
Salt Lake |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Salt Lake County |
| STATE_COUNTY_FIPS_CD |
49035 |
| STATE_FIPS_CD |
49 |
| STATE_NM |
Utah |
| US_SENATE_NM1 |
Mike Lee |
| US_SENATE_NM2 |
John R. Curtis |
| REGION_CD |
08 |
| REGION_NM |
Region 8 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
04 |
| CONG_DIST_NM |
Utah District 04 |
| STATE_FIPS_CD_CONG_DIST_NUM |
4904 |
| REPRESENTATIVE_NM |
Burgess Owens |
| REPRESENTATIVE_URL |
https://owens.house.gov |
| BPHC_SITE_NUM |
BPS-H80-015779 |
| BHCMISID |
|
| FQHC_LAL_NUM |
|
| FQHC_ORG_NM |
|
| FQHC_ADDRESS |
|
| FQHC_CITY |
|
| FQHC_STATE_ABBR |
|
| FQHC_ZIP_CD |
|
| FQHC_ADMIN_CONTACT_NM |
|
| FQHC_ADMIN_CONTACT_PHONE_NUM |
|
| FQHC_ADMIN_CONTACT_EMAIL |
|
| RURAL_IND |
N |
| GRANT_SOURCE_ID |
816E2E56-7014-4664-A935-046200019E3D |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
8 |
| STATE_ID |
45 |
| COUNTY_ID |
2796 |
| CONG_DIST_ID |
9302 |
| CMN_REGION_CD |
08 |
| CMN_REGION_NM |
Region 8 |
| CMN_STATE_NM |
Utah |
| CMN_STATE_ABBR |
UT |
| CMN_STATE_FIPS_CD |
49 |
| CMN_STATE_COUNTY_FIPS_CD |
49035 |
| CMN_COUNTY_NM_STATE_ABBR |
Salt Lake County, UT |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
4904 |
| CMN_CONG_DIST_NM |
Utah District 04 |
| CMN_ZIP_CD |
84120 |
| CMN_CITY_NUM |
West Valley City, UT |
| LOC_NAME |
01-ESRI |
| SCORE |
100 |
| APPROX_VALUE_CD |
N |
| LOC_NAME_DESC |
Data was matched at the Address level using AGOL |
| HCP_COVID19_TEST_CAP_STATUS |
Yes |
| HCP_COVID19_DU_TEST_CAP_STATUS |
No |
| HCP_COVID19_TELE_CAP_STATUS |
Yes |
| HCP_COVID19_TEST_CAP |
As of 05/28/2021, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information. |
| HCP_COVID19_TELEHEALTH_CAP_TXT |
As of 05/28/2021, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |